Cath epdrl brevi-stf 12in .043 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,679.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$4,465.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$377.34 with Health Partners Plans (Jefferson Health Plan) vs $3,351.18 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $377.34 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $434.50 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $436.92 | ↓ -84% |
| Aetna | Medicare | $496.50 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $655.38 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $655.38 | ↓ -76% |
| United Healthcare | Compass Exchange | $655.38 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $671.86 | ↓ -75% |
| Aetna | Neighborhood Network | $697.09 | ↓ -74% |
| Aetna | EBR FI | $754.68 | ↓ -72% |
| Aetna | Home Depot Employer Group | $758.65 | ↓ -72% |
| Cigna | NBR ASO/FI | $774.54 | ↓ -71% |
| United Healthcare | All Business | $774.54 | ↓ -71% |
| Aetna | NBR ASO/FI | $774.54 | ↓ -71% |
| Cigna | New Business ASO | $774.54 | ↓ -71% |
| Cigna | EBR | $794.40 | ↓ -70% |
| Cigna | Commercial | $794.40 | ↓ -70% |
| Aetna | EBR ASO | $794.40 | ↓ -70% |
| UPMC Health Plan | CHIP | $913.30 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $993.00 | ↓ -63% |
| InterGroup | PPO | $993.00 | ↓ -63% |
| UPMC Health Plan | Commercial | $1,108.29 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,251.18 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,257.59 | ↓ -53% |
| Coventry/First Health | Commercial | $1,390.20 | ↓ -48% |
| Private Health Care Systems | PPO | $1,588.80 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $1,675.59 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,684.27 | ↓ -37% |
| Highmark BCBS of PA | UPMC Emergent | $3,351.18 | ↑ +25% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath epdrl brevi-stf 12in .043 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,275.20 | $397.10 – $1,672.00 |
| UPMC Cole | Coudersport | $1,069.20 | $338.58 – $1,425.60 |
| UPMC Hamot | Erie | $3,348.00 | $430.41 – $430.41 |
| UPMC Mercy | Pittsburgh | $3,607.80 | $430.41 – $721.18 |
| UPMC Muncy | Muncy | $2,166.60 | $541.65 – $3,249.90 |
| UPMC Passavant-McCandless | Pittsburgh | $276.60 | $434.50 – $1,325.32 |
| UPMC Presbyterian | Pittsburgh | $7,204.80 | $434.50 – $1,476.65 |
| UPMC Williamsport | Williamsport | $1,297.80 | $584.01 – $1,946.70 |